LAKE CENTRAL PHARMACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054007288

License Status

NOT RENEWED

Business

Business Name

LAKE CENTRAL PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1994

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1991007154

Action

Revocation

Discipline Start Date

07/07/1993

Discipline Reason

Filed false Public Aid records and claims.